Gulf Coast Pediatrics of Sarasota, P.A.
Gulf Coast Pediatrics of Sarasota, P.A. was paid $1.70M by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoGULF COAST PEDIATRICS OF SARASOTA, P.A.
SARASOTA, FL 34233
SARASOTA, FL 34233
33aNPI1952478141assigned 11/30/2006
33bProvider typeSpecialist
28Total paid$1.70M
24GClaims39,433
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Florida
Rank by total paid#38 of 553
Median peer was paid$31K
This provider vs. median54×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 273 | $26K | |
| 2019 | 6,010 | $326K | |
| 2020 | 9,208 | $361K | |
| 2021 | 10,163 | $420K | |
| 2022 | 8,777 | $342K | |
| 2023 | 4,298 | $190K | |
| 2024incomplete | 704 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 27% | 6,428 | 5,714 | $462K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 6,402 | 5,785 | $441K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 1,567 | 1,525 | $195K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.1% | 1,370 | 1,342 | $154K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 853 | 800 | $109K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.1% | 4,619 | 4,167 | $103K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 810 | 794 | $102K |
| 90461 | 2.0% | 1,776 | 1,634 | $34K | |
| 96160 | <1% | 1,808 | 1,747 | $17K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 88 | 85 | $13K |
| 99072 | <1% | 3,684 | 2,999 | $10K | |
| 96127 | <1% | 1,433 | 1,302 | $8K |
26 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 64 | $7K |
| 90686 | <1% | 809 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 321 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 604 | $5K |
| 99070 | <1% | 868 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 553 | $4K |
| 99000 | <1% | 668 | $3K | |
| 99383 | <1% | 14 | $2K | |
| 90651 | <1% | 334 | $1K | |
| 90633 | <1% | 669 | $1K | |
| 99051 | <1% | 86 | $1K | |
| 90620 | <1% | 406 | $951.92 | |
| 90723 | <1% | 525 | $948.23 | |
| 69210 | <1% | 21 | $891.10 | |
| 97802 | <1% | 30 | $798.72 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $576.24 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 298 | $511.60 |
| 90710 | <1% | 290 | $413.22 | |
| 90715 | <1% | 86 | $317.58 | |
| 90647 | <1% | 432 | $263.31 | |
| 90670 | <1% | 771 | $262.68 | |
| 90734 | <1% | 153 | $246.38 | |
| 90696 | <1% | 12 | $120.02 | |
| 90680 | <1% | 402 | $24.01 | |
| 99056 | 0% | 125 | $0.00 | |
| 90688 | 0% | 29 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPEREZ, RICHARD (PRESIDENT)